Wilbur: Skills-Lab Stab Wound With Liver, Diaphragm, Spleen, and Lung Injuries

Wilbur stabilizes only after the team reopens the thoracotomy, manages lung injury, identifies a diaphragm-to-spleen trajectory, and repairs the damage.

Owen stabs four pigs for a skills lab. George is assigned to Wilbur's liver laceration and is praised for quick work. After handoff to Cristina, Wilbur crashes, the thoracotomy is reopened, Cristina removes a lung lobe, expands the exposure, prepares for possible cardiac massage, finds the wound passed through the diaphragm into the spleen, repairs the damage, and Wilbur stabilizes. At the end of the lab, Owen has Cristina euthanize all four pigs.

Wilbur Skills-Lab Stab Wound With Liver, Diaphragm, Spleen, and Lung Injuries

Real human trauma care would require primary survey, resuscitation, imaging or operative exploration based on stability, labs, blood products, anesthesia, infection prevention, and careful postoperative monitoring.

Management depends on injury trajectory and physiology; the episode uses the animal lab to dramatize operative control, repair, and escalation under pressure.